Premium
Percutaneous antegrade ureteric stent removal using a rigid alligator forceps
Author(s) -
Given MF,
Geoghegan T,
Lyon SM,
McGrath F,
Lee MJ
Publication year - 2008
Publication title -
journal of medical imaging and radiation oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.31
H-Index - 43
eISSN - 1754-9485
pISSN - 1754-9477
DOI - 10.1111/j.1440-1673.2008.02021.x
Subject(s) - medicine , alligator , forceps , percutaneous , stent , surgery , radiology , paleontology , biology
Summary To evaluate the safety and efficacy of percutaneous antegrade ureteric stent removal using a rigid alligator forceps. Twenty patients were included in our study. Indications for ureteric stent insertion included stone disease ( n = 7), malignancy ( n = 8) and transplant anastomotic strictures ( n = 5). Stent retrieval was carried out for proximal stent placement/migration in seven patients and encrustation in the remaining 13. Twenty‐two stents were successfully retrieved in 20 patients. There was one technical failure (5%). There were no major complications. We had four minor complications, which included nephrostomy site pain ( n = 2), periprocedural sepsis ( n = 1) and a small urinoma ( n = 1). All patients settled with conservative management. Percutaneous radiologically guided antegrade ureteric stent removal with an alligator forceps is safe and effective, particularly when initial surgical removal has failed.